NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a tracheostomy tube in place. During tracheostomy care, the nurse accidentally dislodges the tube. Which of the following actions should the nurse take FIRST?
Correct Answer: A
Rationale: immediate reinsertion of a tracheostomy tube is critical to maintain airway patency
Question 2 of 5
The nurse is talking in the lounge with other nurses about grief and loss. The nurse understands which to be true regarding grief and loss? Select all that apply.
Correct Answer: B, C, E
Rationale: Age, gender, and culture influence grief; nurses must process their own feelings to help others, and supporting families post-loss is key. Grief is not inherently detrimental, and expression should be encouraged.
Question 3 of 5
The nurse answers a call to the unit, which turns out to be a bomb threat. Which actions by the nurse are correct? Select all that apply.
Correct Answer: B, D
Rationale: Following protocol and alerting authorities ensure safety and proper response, while dismissing the threat or evacuating without orders is unsafe.
Question 4 of 5
Following insertion of a nasogastric (NG) tube, the nurse aspirates the gastric contents to check the pH to determine if the NG tube is correctly placed. Which of the following pH values is consistent with gastric secretions?
Correct Answer: D
Rationale: Gastric secretions typically have a pH of 1.5-3.5, so a pH of 4 (
D) is consistent with correct NG tube placement in the stomach. Higher pH values (A, B,
C) suggest placement in the intestines or respiratory tract.
Question 5 of 5
A nurse is caring for a client who has just undergone an ileostomy procedure. The nurse expects how much drainage from the ileostomy during the first 24 hours post-op?
Correct Answer: B
Rationale: Ileostomy drainage in the first 24 hours post-op is typically 500-1,000 mL due to liquid stool output. 800 mL is the most reasonable estimate.